Lei Guo1, Qian-Qian Du1, Piao-Qin Cheng1, Ting-Ting Yang2, Chao-Qun Xing1, Xue-Zhi Luo1, Xiao-Chun Peng3, Feng Qian2, Jiang-Rong Huang1, Feng-Ru Tang4. 1. Department of Traditional Chinese Medicine, Health Science Center, Yangtze University, Jingzhou, China. 2. Department of Physiology, School of Basic Medicine, Health Science Center, Yangtze University, Jingzhou, China. 3. Department of Pathophysiology, School of Basic Medicine, Health Science Center, Yangtze University, Jingzhou, China. 4. Radiation Physiology Laboratory, Singapore Nuclear Research and Safety Initiative, National University of Singapore, Singapore.
Abstract
Background: Brain exposure to ionizing radiation during the radiotherapy of brain tumor or metastasis of peripheral cancer cells to the brain has resulted in cognitive dysfunction by reducing neurogenesis in hippocampus. The water extract of Lycium barbarum berry (Lyc), containing water-soluble Lycium barbarum polysaccharides and flavonoids, can protect the neuronal injury by reducing oxidative stress and suppressing neuroinflammation. Reseach Design: To demonstrate the long-term radioprotective effect of Lyc, we evaluated the neurobehavioral alterations and the numbers of NeuN, calbindin (CB), and parvalbumin (PV) immunopositive hippocampal neurons in BALB/c mice after acute 5.5 Gy radiation with/without oral administration of Lyc at the dosage of 10 g/kg daily for 4 weeks. Results: The results showed that Lyc could improve irradiation-induced animal weight loss, depressive behaviors, spatial memory impairment, and hippocampal neuron loss. Immunohistochemistry study demonstrated that the loss of NeuN-immunopositive neuron in the hilus of the dentate gyrus, CB-immunopositive neuron in CA1 strata radiatum, lacunosum moleculare and oriens, and PV-positive neuron in CA1 stratum pyramidum and stratum granulosum of the dentate gyrus after irradiation were significantly improved by Lyc treatment. Conclusion: The neuroprotective effect of Lyc on those hippocampal neurons may benefit the configuration of learning related neuronal networks and then improve radiation induced neurobehavioral changes such as cognitive impairment and depression. It suggests that Lycium barbarum berry may be an alternative food supplement to prevent radiation-induced neuron loss and neuropsychological disorders.
Background: Brain exposure to ionizing radiation during the radiotherapy of brain tumor or metastasis of peripheral cancer cells to the brain has resulted in cognitive dysfunction by reducing neurogenesis in hippocampus. The water extract of Lycium barbarum berry (Lyc), containing water-soluble Lycium barbarum polysaccharides and flavonoids, can protect the neuronal injury by reducing oxidative stress and suppressing neuroinflammation. Reseach Design: To demonstrate the long-term radioprotective effect of Lyc, we evaluated the neurobehavioral alterations and the numbers of NeuN, calbindin (CB), and parvalbumin (PV) immunopositive hippocampal neurons in BALB/c mice after acute 5.5 Gy radiation with/without oral administration of Lyc at the dosage of 10 g/kg daily for 4 weeks. Results: The results showed that Lyc could improve irradiation-induced animal weight loss, depressive behaviors, spatial memory impairment, and hippocampal neuron loss. Immunohistochemistry study demonstrated that the loss of NeuN-immunopositive neuron in the hilus of the dentate gyrus, CB-immunopositive neuron in CA1 strata radiatum, lacunosum moleculare and oriens, and PV-positive neuron in CA1 stratum pyramidum and stratum granulosum of the dentate gyrus after irradiation were significantly improved by Lyc treatment. Conclusion: The neuroprotective effect of Lyc on those hippocampal neurons may benefit the configuration of learning related neuronal networks and then improve radiation induced neurobehavioral changes such as cognitive impairment and depression. It suggests that Lycium barbarum berry may be an alternative food supplement to prevent radiation-induced neuron loss and neuropsychological disorders.
Ionizing radiation has been widely applied to brain disease diagnosis and
radiotherapy to treat brain tumor and to prophylactically prevent metastasis of
peripheral cancer cells to the brain. However, acute or fractional accumulative
ionizing radiation may result in neurodegenerative disorders including cognitive
impairment, depression, sensory disturbance, and poor motor coordination.[1,2] Previous studies have shown
that irradiation could lead to cognitive impairment and depression by reducing
neurogenesis in hippocampus after the acute radiation exposure.[3-6] Although many neuroprotective
agents have been reported to have significant efficacy on radiation-induced
cognitive dysfunction, amifostine is still the only approved radioprotectant during radiotherapy.
Our previous study has indicated that the oral administration of Chinese
herbal medicine (CHM) epimedium after acute radiation exposure could significantly
improve the hippocampal neurogenesis and radiation-induced depression and cognitive
impairment in BALB/c mice.
Flavonoids, the active components of epimedium and many other CHMs, can
reduce oxidative stress significantly.
This implicated that CHMs containing flavonoids may have great advantages as
radio-neuro-protectants because of their anti-oxidative and immunoregulatory
effects.Lycium barbarum berry, also named Goji berry and wolfberry, which is
rich of Lycium barbarum polysaccharides (LBPs), has been used as
food supplement and herbal medicine in China for thousands of years and has been
increasingly accepted as anti-oxidative and anti-aging fruit in Western
countries.[9,10] Its components, including flavonoids and many glycosylated
derivatives of dicaffeoylspermidine, dicaffeoylspermine, and kukoamine, have been
studied intensively.[11,12] The mixture of those glycosylated derivatives in Lycium
barbarum berry, the LBPs, can improve retinal function and reduce
retinal neuron damage,[13,14] reduce blood lipid and glucose,[15,16] boost immune system to
anti-allergy and anti-cancer,
protect against radiotherapy or chemotherapy induced tissue damages,
prevent neuron loss, and enhance neurogenesis.
Flavonoids can pass through the blood-brain barrier
to play their roles in anti-oxidation, anti-inflammation, and neuro-protection.
The dicaffeoylspermidine derivatives showed significant anti-oxidative and
neuroprotective effects.
The radio-neuro-protective effects of kukoamines may have the similar
anti-oxidative and anti-inflammatory pathways.
In addition, kukoamine A may down regulate the NMDA receptors to prevent the
NMDA-induced neurotoxicity in vitro.
As a nutrient rich “superfood,” Lycium barbarum berry can be
used as a daily diet without serious accumulative toxins or side-effect.[10,24] Its potential
neuroprotective effects after radiation exposure should be evaluated. In the present
study, we studied the radio-neuro-protective effects of Lycium
barbarum berry extract on neurobehavioral changes and hippocampal
neuron loss in the mouse model of acute ionizing radiation exposure.
Materials and Methods
Lycium barbarum Berry Extraction
Five hundred grams dried Lycium barbarum berries (Zhongning,
Ningxia, China) were crushed and decocted in 3 L boiled distilled water for 2 h.
The decocted liquid was filtrated and the residue was decocted again in 2 L
water. The 2 filtrates were combined and concentrated in rotary evaporator under
60°C to obtain 350 g thick paste which was stored under 4°C. The paste
containing the water-soluble components of Lycium barbarum
berry was dissolved in saline at the highest concentration of .5 g/mL (10 g/kg)
before oral administration with the volume of .2 mL per 10 g body weight of
mouse. Based on their efficacies on preventing animal body weight loss and
behavioral changes after administration of 3 different dosages including 2.5,
5,, and 10 g/kg, the highest dosage of 10 g/kg of Lycium
barbarum berry water extraction was chosen for further study.
Experimental Animal
Male specific-pathogen-free (SPF) BALB/c mice were purchased from Hubei
experimental animal research center licensed with the number SCXK (Hubei)
2015-0018, and accommodated in local animal room to 8-week-old and body weight
22 ± 2 g before irradiation. Animals were divided into four groups: (1) sham
X-ray exposure group (Sham) of 10 mice with oral saline administration after
sham exposure; (2) experimental control group (Exp-Ctrl) of 10 mice with 5.5 Gy
X-ray whole body irradiation followed by oral saline administration; (3)
positive experimental control group (Ami-Exp) of 10 mice with the amifostine
pretreatment (at 100 mg/kg, batch number: J0311A, Dalian Meilun Biotech. Co.,
China) at 30 min before 5.5 Gy X-ray whole body irradiation; and (4)
experimental group (Exp-Lyc) of 10 mice with 5.5 Gy X-ray whole body irradiation
followed by the oral administration of the Lycium barbarum
berry extract (10 g/kg per day) 2 h after radiation exposure on the first day,
and the Lycium barbarum berry extract treatment was continued
for 4 weeks. The body weight was recorded after the irradiation. Behavioral
tests were conducted four weeks after radiation exposure and the mice were then
sacrificed for the brain sample collection.
Behavioral Tests
To test if irradiation induced depression and spatial memory impairment and if
Lyc could improve those changes, tail suspension, forced swimming, open field,
and Morris water maze tests were used as scheduled in Figure 1A. Behavioral tests were
conducted in a quiet room with dim light and constant temperature (20-25°C)
using SuperMaze animal behavior record and analysis system (Shanghai Xinruan
InfoTech Co, China). The animals have been moved into the behavioral test room
after the last oral administration. One day after, tail suspension and forced
swimming immobility times were recorded for 4 min after 2 min environmental
adaptation. The open field size of 50 cm (length) × 50 cm (width) × 30 cm
(height) was divided into 25 boxes to record the total movement distance and the
time spent in the central area (central 9 boxes) for 10 min. The animal was
placed on the central point of open field to begin the test. The Morris water
maze experiments were done as described previously.
The hidden platform escape latency was recorded for 5 days. On the day 6,
after removing the platform, the times that the mice passed though platform area
and the total resident time that the mice spent in the platform quadrant in 60 s
were recorded.
.
The experimental time schedule (A) and the effect of Lycium
barbarum berry extract on the body weight of radiation
exposed BALB/c mice (B). The body weight of the mice in the sham
exposure group (Sham) increases steadily, but it decreases
significantly after acute X-ray irradiation with 5.5 Gy in the
experimental control (Exp-Ctrl), mice treated with Lycium
barbarum berries (Exp-Lyc) and amifostine (Ami-Exp) at
1 week after the exposure (F (3, 36) = 61.85, P
< .0001). From the second week, amifostine pretreatment (Ami-
Exp) and oral Lycium barbarum berry extract
treatment after exposure (Exp-Lyc) reverse the animal weight loss (F
(3, 36) = 134.0, P < .0001) and these animals
have similar body weight to Sham group at the end of the fifth week
(F (3, 36) = 244.0, P < .0001). However,
Exp-Ctrl group has a significant weight loss from 2 to 5 week(s)
after radiation exposure when compared to the other 3 groups
(P < .05, n = 10 in each group).
The experimental time schedule (A) and the effect of Lycium
barbarum berry extract on the body weight of radiation
exposed BALB/c mice (B). The body weight of the mice in the sham
exposure group (Sham) increases steadily, but it decreases
significantly after acute X-ray irradiation with 5.5 Gy in the
experimental control (Exp-Ctrl), mice treated with Lycium
barbarum berries (Exp-Lyc) and amifostine (Ami-Exp) at
1 week after the exposure (F (3, 36) = 61.85, P
< .0001). From the second week, amifostine pretreatment (Ami-
Exp) and oral Lycium barbarum berry extract
treatment after exposure (Exp-Lyc) reverse the animal weight loss (F
(3, 36) = 134.0, P < .0001) and these animals
have similar body weight to Sham group at the end of the fifth week
(F (3, 36) = 244.0, P < .0001). However,
Exp-Ctrl group has a significant weight loss from 2 to 5 week(s)
after radiation exposure when compared to the other 3 groups
(P < .05, n = 10 in each group).
Immunohistochemistry
The mice were anesthetized with 1% pentobarbital after behavioral tests. Animals
were perfused transcardially with .9% saline to wash out the blood followed by
4% paraformaldehyde. The brain was removed, postfixed with the same fixative
overnight, and then stored in 30% sucrose solution prepared with .1 M phosphate
buffer (pH: 7.4). For immunohistochemistry, sagittal brain sections with 40 μm
thickness were cut and a set of 3 serial sections was prepared and sections
collected were placed individually in different wells of a 24 well tissue
culture dish for the control, NeuN, calbindin (CB), and parvalbumin (PV)
immunohistochemical reaction. The freely floating sections were treated in 4%
normal goat serum for 2 h at room temperature. All sections were then washed in
.1 M phosphate-buffered saline (PBS) containing NeuN (1:100) (Invitrogen, United
States), CB (1: 2000), and PV (1:1000) (Swant, Switzerland). After incubation,
sections were washed in PBS and placed for 1 h in biotinylated goat anti-rabbit
IgG (Vector Laboratories, Burlingame, CA, United States) diluted 1:2000 in
PBS/Triton X-100. After 2 washes in PBS, they were placed in avidin– biotin
complex (ABC) reagent (Vector Laboratories) in PBS/Triton X-100 for 1 h, washed
in PBS and reacted in a solution of .12% H2O2 and .05%
3,3-diaminobenzidine (DAB) (Sigma, United States) in Tris buffer (TB) for
15 min, then mounted, dehydrated, coverslipped, and photographed by using image
analysis system.
Cell Counting and Statistical Analysis
NeuN immunopositive neurons in the hilus of the dentate gyrus, CB immunopositive
interneurons in the area of CA1 strata radiatum lacunosum moleculare and stratum
oriens, PV immunopositive interneurons in the CA1 stratum pyramidum, and the
stratum granulosum of the dentate gyrus in the dorsal hippocampus were counted
by using Leica DM4 B upright microscope and LAS X software (Leica Microsystems,
Germany). The 5 sagittal brain sections from every 3 alternative sections of the
dorsal hippocampus of each animal were used for immunopositive cell counting.
Five animals of each group were used for cell counting. All the data sets have
passed the normal distribution tests by using Prism 8. One-way ANOVA followed by
the Bonferroni post-hoc test for multiple comparisons was used for statistical
analysis and statistical significance was considered when the adjusted
P < .05. All the data were showed as mean ± SD.
Results
Body Weight
The animal body weight changes were recorded for 5 weeks since the day of
irradiation (Figure
1B). X-ray irradiation with 5.5 Gy (Exp-Ctrl) induced a significant body
weight loss in the first week after exposure compared to the sham radiation
exposure mice (Sham) (F (3, 36) = 61.85, P < .0001). Oral
administration of Lycium barbarum berry extract at the dosage
of 10 g/kg per day (350 g extract paste from 500 g dried Lycium
barbarum berries) (Exp-Lyc) prevented animal weight loss from the
second week after irradiation, similar to amifostine pretreatment (Ami-Exp) with
intraperitoneal injection at 100 mg/kg 30 min before irradiation (F (3, 36) =
134.0, P < .0001). Both therapeutic strategies in Exp-Lyc
and Ami-Exp groups effectively improved the animal weight gain to the normal
level in the Sham group by the end of the fifth week after irradiation. At this
time point, animals in Exp-Lyc and Ami-Exp groups were significantly heavier
than those in Exp-Ctrl (F (3, 36) = 244.0, P < .0001), but
had no significant weight difference compared to the Sham group
(P > .05).The average tail suspension (Figure 2A, F (3, 36) = 8.267, P = .0003) and forced
swimming (Figure 2B, F
(3, 36) = 12.27, P < .0001) immobility time in 4 min of
those radiation exposed mice with saline treatment were significantly longer
than the sham exposed mice. Amifostine or Lycium barbarum berry
treatment significantly reduced immobility time when compared to irradiated
animals treated with saline (Figures 2A, B, P < .05). No significant
difference in immobility time was observed among those exposed animals treated
with amifostine or Lycium barbarum berry and the Sham group
(P > .05). Open field experiment showed that the total
travel distance in the Exp-Ctrl group within 10 min was less than the Sham
group, amifostine, or Lycium barbarum treated mice, indicating
both treatments significantly improved animal locomotor activity (Figure 2C, F (3, 36) =
10.85, P < .0001). Similarly, Lycium
barbarum berry also reduced the time animals stayed in the central
area of test field when compared to radiation exposed control mice (Figure 2D, F (3, 36) =
13.14, P < .0001). Morris water maze experiments showed that
the average platform escape latency time of radiation exposure mice (Exp-Ctrl)
was significantly longer than the Sham, Ami-Exp, or Exp-Lyc group on the day 5
(Figures 3A, B, F
(3, 36) = 35.53, P < .0001). In addition, the average
platform crossing time and platform quadrant resident time of the Exp-Ctrl group
on day 6 were less than the Sham, Ami-Exp, or Exp-Lyc group (Figure 3C, F (3, 36) =
29.24, P < .0001). Amifostine or Lycium
barbarum berry treatment reduced the escape latency and increased
the platform crossing time and platform quadrant resident time significantly,
indicating that both treatments could improve the spatial memory of mice with
radiation exposure. These data of behavioral tests demonstrated that the oral
administration of Lycium barbarum berry extract could
effectively prevent or treat the radiation damages in the motor activity and
cognitive function of mice.
.
Tail suspension, forced swimming, and open field tests. Similar to
the amifostine pretreated (Ami-Exp) group, Lycium
barbarum berry extract (Exp-Lyc) significantly reduces
the immobility times in tail suspension (A, F (3, 36) = 8.267,
P = .0003) and forced swimming (B, F (3, 36) =
12.27, P < .0001) tests. Open field test shows
the average total travelling distance of the mice in radiation
exposure control group (Exp-Ctrl) is significantly less than those
of the mice in the other 3 groups (C, F (3, 36) = 10.85,
P < .0001). However, the average central
area staying time of Exp-Ctrl mice is significantly longer (D, F (3,
36) = 13.14, P < .0001). Asterisks * indicate
P < .05. The values are the mean ± SD
calculated from the data of 10 mice in each group.
.
Morris water maze test. Morris water maze test shows that the average
escape latency of the Exp-Ctrl group is significantly longer than
those of the Sham group, the Ami-Exp or Exp-Lyc group in the
training trials on the day 5 (A, B, F (3, 36) = 35.53,
P < .0001). The average time spent in the
platform quadrant and the times of animal crossing platform area of
the Exp-Ctrl group are significantly lower than those of other 3
groups on day 6 (C, F (3, 36) = 29.24, P <
.0001). Asterisks * in panel C indicate P < .05
when compared with the Exp-Ctrl group. The values are the mean ± SD
calculated from the data of 10 mice in each group.
Tail suspension, forced swimming, and open field tests. Similar to
the amifostine pretreated (Ami-Exp) group, Lycium
barbarum berry extract (Exp-Lyc) significantly reduces
the immobility times in tail suspension (A, F (3, 36) = 8.267,
P = .0003) and forced swimming (B, F (3, 36) =
12.27, P < .0001) tests. Open field test shows
the average total travelling distance of the mice in radiation
exposure control group (Exp-Ctrl) is significantly less than those
of the mice in the other 3 groups (C, F (3, 36) = 10.85,
P < .0001). However, the average central
area staying time of Exp-Ctrl mice is significantly longer (D, F (3,
36) = 13.14, P < .0001). Asterisks * indicate
P < .05. The values are the mean ± SD
calculated from the data of 10 mice in each group.Morris water maze test. Morris water maze test shows that the average
escape latency of the Exp-Ctrl group is significantly longer than
those of the Sham group, the Ami-Exp or Exp-Lyc group in the
training trials on the day 5 (A, B, F (3, 36) = 35.53,
P < .0001). The average time spent in the
platform quadrant and the times of animal crossing platform area of
the Exp-Ctrl group are significantly lower than those of other 3
groups on day 6 (C, F (3, 36) = 29.24, P <
.0001). Asterisks * in panel C indicate P < .05
when compared with the Exp-Ctrl group. The values are the mean ± SD
calculated from the data of 10 mice in each group.NeuN, CB, and PV immunopositive neurons in the target areas of dorsal hippocampus
were counted from 5 slices of each mouse brain. The number of NeuN
immunopositive neurons in the hilus of the dentate gyrus was significantly
reduced after irradiation with 5.5 Gy (Figure 4, F (3, 36) = 26.04,
P < .0001, Exp-Ctrl compared to Sham, P
< .05). Both amifostine pretreatment and Lycium barbarum
berry extract treatment prevented hilar neuronal loss when compared to the
Exp-Ctrl (Figure 4,
Ami-Exp or Exp-Lyc compared to Exp-Ctrl, P < .05).
Similarly, the number of CB positive neurons in the strata radiatum lacunosum
moleculare (Figure 5E,
F (3, 36) = 16.88, P < .0001) and stratum oriens (Figure 5F, F (3, 36) =
16.47, P < .0001), and the number of PV positive
interneurons in the CA1 stratum pyramidum (Figure 6M, F (3, 36) = 27.75,
P < .0001) and the stratum granulosum of the dentate
gyrus (Figure 6N, F (3,
36) = 6.78, P = .0037) were also reduced by radiation exposure,
indicating the radiation induced neuron loss in these areas. Oral administration
of Lycium barbarum berry effectively increased the numbers of
CB and PV immunopositive cells in the corresponding areas (Figures 5, 6, Exp-Lyc compared to Exp-Ctrl,
P < .05). These immunochemistry results demonstrated
that the Lycium barbarum berry could effectively prevent the
loss of NeuN, CB, and PV immunopositive cells in the hilus and stratum
granulosum of the dentate gyrus, strata radiatum lacunosum moleculare, stratum
oriens, and pyramidum of CA1 area of the mouse hippocampus.
.
NeuN immunohistochemistry. A, B, C, and D show the NeuN
immunopositive neurons in the hilus of the dentate gyrus (the
triangle area indicated in each slice) of the representative slices
from the Sham, Exp-Ctrl, Ami-Exp, and Exp-Lyc groups, respectively.
E, Statistical analysis shows the number of NeuN immunopositive
neurons in the hilus of the Exp-Ctrl group (pyramidal neurons in
CA3c were excluded) is significantly fewer than the Sham group (F
(3, 36) = 26.04, P < .0001). The Ami-Exp or
Exp-Lyc group has more NeuN immunopositive neurons in the hilus than
the Exp-Ctrl group. Asterisks * indicate P < .05
when compared with the Exp-Ctrl group (n = 5 in each group, cell
number is counted in 5 sagittal brain sections from every 3
alternative sections of the dorsal hippocampus of each mouse, and
indicated as the mean ± SD).
.
Calbindin (CB) immunohistochemistry. A, B, C, and D show the CB
immunopositive interneurons in the strata radiatum, lacunosum
moleculare (SRLM) and oriens (SO) in CA1 areas (the areas indicated
in the slice) of the slices from the Sham, Exp-Ctrl, Ami-Exp, and
Exp-Lyc groups, respectively. E and F show the numbers of CB
immunopositive interneurons in the CA1-SRLM (F (3, 36) = 16.88,
P < .0001) and CA1-SO (Panel F, F (3, 36) =
16.47, P < .0001) areas of the Exp-Ctrl group
are statistical significantly fewer than the Sham group. Both
Ami-Exp and Exp-Lyc groups have more CB immunopositive interneurons
in these areas than the Exp-Ctrl group. Asterisks * indicate
P < .05 when compared with the Exp-Ctrl
group (n=5 in each group, cell number is counted in 5 sagittal brain
sections from every 3 alternative sections of the dorsal hippocampus
of each mouse, and indicated as the mean ± SD).
.
Parvalbumin (PV) immunohistochemistry. The areas indicated in the
slices A, D, G, and J show the PV immunostaining interneurons in the
CA1 stratum pyramidum (CA1-SP, B, E, H, and K) and the stratum
granulosum of the dentate gyrus (DG-SG, C, F, I, and L) from the
Sham, Exp-Ctrl, Ami-Exp, and Exp-Lyc groups, respectively. The
picture D shows significant reduced numbers of PV immunopositive
interneurons in the CA1-SP (E and M, F (3, 36) = 27.75,
P < .0001) and the DG-SG (F and N, F (3, 36)
= 6.78, P = .0037) of the Exp-Ctrl group when
compared to the Sham group. The numbers of PV immunopositive
interneurons in the CA1-SP (M) and the DG-SG (N) of the Ami-Exp (G,
H, I) or Exp-Lyc group (J, K, and L) are significantly more than the
Exp-Ctrl group. Asterisks * indicate P < .05
when compared with Exp-Ctrl group (n = 5 in each group, cell number
is counted in 5 sagittal brain sections from every 3 alternative
sections of the dorsal hippocampus of each mouse, and indicated as
the mean ± SD).
NeuN immunohistochemistry. A, B, C, and D show the NeuN
immunopositive neurons in the hilus of the dentate gyrus (the
triangle area indicated in each slice) of the representative slices
from the Sham, Exp-Ctrl, Ami-Exp, and Exp-Lyc groups, respectively.
E, Statistical analysis shows the number of NeuN immunopositive
neurons in the hilus of the Exp-Ctrl group (pyramidal neurons in
CA3c were excluded) is significantly fewer than the Sham group (F
(3, 36) = 26.04, P < .0001). The Ami-Exp or
Exp-Lyc group has more NeuN immunopositive neurons in the hilus than
the Exp-Ctrl group. Asterisks * indicate P < .05
when compared with the Exp-Ctrl group (n = 5 in each group, cell
number is counted in 5 sagittal brain sections from every 3
alternative sections of the dorsal hippocampus of each mouse, and
indicated as the mean ± SD).Calbindin (CB) immunohistochemistry. A, B, C, and D show the CB
immunopositive interneurons in the strata radiatum, lacunosum
moleculare (SRLM) and oriens (SO) in CA1 areas (the areas indicated
in the slice) of the slices from the Sham, Exp-Ctrl, Ami-Exp, and
Exp-Lyc groups, respectively. E and F show the numbers of CB
immunopositive interneurons in the CA1-SRLM (F (3, 36) = 16.88,
P < .0001) and CA1-SO (Panel F, F (3, 36) =
16.47, P < .0001) areas of the Exp-Ctrl group
are statistical significantly fewer than the Sham group. Both
Ami-Exp and Exp-Lyc groups have more CB immunopositive interneurons
in these areas than the Exp-Ctrl group. Asterisks * indicate
P < .05 when compared with the Exp-Ctrl
group (n=5 in each group, cell number is counted in 5 sagittal brain
sections from every 3 alternative sections of the dorsal hippocampus
of each mouse, and indicated as the mean ± SD).Parvalbumin (PV) immunohistochemistry. The areas indicated in the
slices A, D, G, and J show the PV immunostaining interneurons in the
CA1 stratum pyramidum (CA1-SP, B, E, H, and K) and the stratum
granulosum of the dentate gyrus (DG-SG, C, F, I, and L) from the
Sham, Exp-Ctrl, Ami-Exp, and Exp-Lyc groups, respectively. The
picture D shows significant reduced numbers of PV immunopositive
interneurons in the CA1-SP (E and M, F (3, 36) = 27.75,
P < .0001) and the DG-SG (F and N, F (3, 36)
= 6.78, P = .0037) of the Exp-Ctrl group when
compared to the Sham group. The numbers of PV immunopositive
interneurons in the CA1-SP (M) and the DG-SG (N) of the Ami-Exp (G,
H, I) or Exp-Lyc group (J, K, and L) are significantly more than the
Exp-Ctrl group. Asterisks * indicate P < .05
when compared with Exp-Ctrl group (n = 5 in each group, cell number
is counted in 5 sagittal brain sections from every 3 alternative
sections of the dorsal hippocampus of each mouse, and indicated as
the mean ± SD).
Discussion
Lyc Improves Radiation-Induced Body Weight Loss
Radiotherapy with ionizing radiation may lead to body weight loss in brain or
neck cancer patients
and animals exposed to acute high dose radiation.
Lycium barbarum berry has been increasingly accepted as an
anti-oxidative, immune-boosting, and neuroprotective food supplement which may
strengthen the body resistance to damages, pathogens, and even ageing.
In the present study, oral administration of Lyc effectively prevented
weight loss of the mice X-ray-irradiated with 5.5 Gy, indicating that this
traditional herbal medicine should have a role in controlling radiation damages.
To further study the radioprotective role of Lyc, we investigated its effect on
the neurobehavioral performance and neuroprotection on the hippocampal
interneurons and hilar cells in the dentate gyrus.
Our data from open field, forced swimming, and tail suspension tests have shown
that mice irradiated with 5.5 Gy suffered less locomotor activity and
depression. These results confirmed that the radiation dosage we applied was
sufficient to induce the neurobehavioral impairments of the exposed mice.
Morris water maze test has suggested the radiation induced spatial
cognitive dysfunction.
Four-week oral administration of Lyc could effectively prevent those
radiation induced behavioral and cognitive impairments. It has been reported
that LBP could significantly improve the dextromethorphan-induced depression in
the rat model.
In the APP/PS1 double transgenic mice, a widely used animal model of
Alzheimer’s disease, 2-week oral administration of Lyc significantly improved
their spatial memory in Morris water maze test.
This radioprotective effect of Lyc should be related to the previously
suggested effects of Lyc or LBP, including anti-oxidation, anti-inflammation,
preventing neuron loss, and promoting neuronal regeneration.
The anti-oxidative effect of Lyc or LBP should be due to their activities
in scavenging reactive oxygen species (ROS) and inhibiting oxidases.[30-32] By using primary cultured
neonatal rat hippocampal neurons, LBP significantly decreased the overexpression
of inflammatory cytokines and apoptotic biomarkers induced by oxygen–glucose deprivation/reperfusion.
These anti-oxidative and anti-inflammatory effects of Lyc should
contribute to its neuroprotection and subsequent improvement of spatial memory
and depression.
Lyc Improves Radiation-Induced Hippocampal Neuron Loss
Our previous study has demonstrated that the oral administration of epimedium
or intraperitoneal injection of amitriptyline, an inhibitor of acid
sphingomyelinase (ASMase),
significantly prevent radiation-induced loss of Ki67, doublecortin (DCX),
and PV immunopositive cells in the subgranular zone (SGZ) of the dentate gyrus,
indicating the improvement of neurogenesis in SGZ. In the pilocarpine induced
mouse model of status epilepticus, dramatic reduction of NeuN, CB, and PV
immunopositive neurons in different hippocampal areas implicated that these
biomarkers should help to present the status of neuron loss and neuron
regeneration in hippocampus.[34,35] A recent study has
reported that LBP treatment could increase the number of NeuN positive neurons
in the dentate gyrus of APP/PS1 mice.
In this study, our behavioral tests have demonstrated obvious cognitive
impairment and depression in those irradiated mice. Therefore, we focused on the
changes of those hippocampal neurons and interneurons which should related to
the cognitive dysfunction and depression.The number of NeuN-immunopositive neurons in the dentate hilus could be reduced
by ionizing irradiation.
In the chronic mouse model of temporal lobe epilepsy (TLE), reduced
number of the hilar mossy cells was found to be the major reason of spatial
memory deficit.
As the major excitatory neurons in dentate hilus, mossy cells are
responsible for receiving inputs from local interneurons, granule cells and the
CA3 input and protruding axons into different layers of the dentate
gyrus.[38,39] They play essential roles in maintaining cognitive
neuronal network and even in the regeneration and/or the reorganization of
neuronal network after neuronal damage.[34,40,41] Therefore, the decreased
number of hilar NeuN immunopositive cells after irradiation in this study may
implicate the mossy cell loss and the consequent cognitive deficit and depression.Several previous studies have demonstrated that the loss of hippocampal
interneurons should lead to cognitive dysfunction and behavior
alteration.[42-44] As a
calcium binding protein expressed in some hippocampal interneurons, CB plays a
critical role in hippocampal learning function.
Down-regulated hippocampal CB expression and/or CB positive neurons were
observed in various neurological disorders and were related to cognitive
deficits,[46-48] while the
increased number of CB positive hippocampal neurons implicated the generation of
new neurons and the establishment of functional neuronal network.
The CB positive interneurons located in the strata radiatum, lacunosum
moleculare (CA1-SRLM) and oriens (CA1-SO) of CA1 area are mostly GABAergic
interneurons which mainly form synapses with CA1 pyramidal cells and are
significantly reduced during ageing.[50,51] In the present study, we
found that the radiation exposure reduced the number of CB positive interneurons
in the CA1-SRLM, which are involved in the regulation of the inputs from the
entorhinal cortex to hippocampal CA1 apical dendrites of pyramidal neurons or
spatial information.
And the reduced number of CB expressing interneurons in the CA1-SO may
affect the interaction between the CA1 pyramidal cells and CA1-projecting
subiculum neurons which should play a role in the spatial memory.[52,53]PV positive cells in hippocampal area are inhibitory GABAergic interneurons which
function to configure learning related neuronal network.
The PV positive interneurons in CA1 area provide inhibitory synapses onto
CA1 pyramidal neurons to regulate their activities in cognitive
network.[55,56] Promotion of PV immunopositive interneurons in CA1 area
could rescue cognitive dysfunction of adult mouse model of schizophrenia.
In addition, the activity of PV positive interneurons in dentate gyrus
should have an essential role in cognitive function.[58,59] The irradiation-induced
PV immunopositive neuron loss in the stratum pyramidum of CA1 (CA1-SP) and in
the stratum granulosum of the dentate gyrus (DG-SG) was observed in current
study, which should be responsible for the cognitive deficits of those
irradiated mice.The Lyc has been reported as an anti-depressive drug previously.
Our behavioral tests indicated the spatial memory impairment and
depression of those radiation exposure mice. Given these, we proposed that the
radiation exposure at the dosage of 5.5 Gy induced the depressive behavior and
the spatial memory impairment of mice by promoting the hippocampal NeuN-positive
neuron loss in the hilus, CB-positive interneuron loss in the CA1-SO and
CA1-SRLM, and the PV-positive interneuron loss in the CA1-SP and DG-SG areas.
Oral administration of Lyc significantly prevented the neuron loss in these
areas and then maintained the hippocampal neuronal network which consequently
improved the radiation induced cognitive deficit and depression.
Conclusion
Ionizing radiation at the dosage of 5.5 Gy induced the depressive behavior and
spatial memory impairment in BALB/c mice 4 weeks after irradiation. Significant
NeuN-positive neuron loss in the hilus of the dentate gyrus, CB-positive interneuron
loss in the CA1-SO and CA1-SRLM, and PV-positive interneuron loss in the CA1-SP and
DG-SG areas 6 weeks after irradiation were demonstrated by immunohistochemistry
study. Oral administration of Lyc prevented the loss of those hippocampal neurons
and then improved the radiation-induced cognitive dysfunction and depression. While
further study is still needed to elucidate the molecular mechanism of Lyc, current
study strongly suggests that this “superfood” may be a promising
radio-neuro-protective supplement to prevent radiotherapy or other ionizing
radiation induced cognitive impairment.
Authors: Anh D Bui; Theresa M Nguyen; Charles Limouse; Hannah K Kim; Gergely G Szabo; Sylwia Felong; Mattia Maroso; Ivan Soltesz Journal: Science Date: 2018-02-16 Impact factor: 47.728
Authors: Endong Zhang; Suk Yu Yau; Benson Wui Man Lau; Henry Ma; Tatia M C Lee; Raymond Chuen-Chung Chang; Kwok Fai So Journal: Cell Transplant Date: 2012-10-31 Impact factor: 4.064